Provider Demographics
NPI:1417686346
Name:SENA HOME CARE LLC
Entity Type:Organization
Organization Name:SENA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBELA
Authorized Official - Middle Name:MAMO
Authorized Official - Last Name:MENGESHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-322-0801
Mailing Address - Street 1:11225 N 28TH DR STE D115M
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-5609
Mailing Address - Country:US
Mailing Address - Phone:480-322-0801
Mailing Address - Fax:
Practice Address - Street 1:11225 N 28TH DR STE D115M
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-5609
Practice Address - Country:US
Practice Address - Phone:480-322-0801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health